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Permit CITY OF TIGARD ELECTRICAL PERMIT I COMMUNITY DEVELOPMENT Permit #: ELC2012 -00688 T WARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 12/10/2012 Parcel: 1 S135DC00100 Jurisdiction: Tigard Site address: 11863 SW GREENBURG RD 9 Project: Tigarden Court Apts Subdivision: 2007 -005 PARTITION PLAT Lot: 2 Project Description: (1) 200 amps or less replace damaged meterbase Contractor: JRA INC DBA FRAHLER ELECTRIC COMPANY Owner: NORTON, TIMOTHY W & KATHRYN M 11860 SW GREENBURG RD 5615 SE SCENIC LN #303 TIGARD, OR 97223 VANCOUVER, WA 98661 PHONE: 503 - 639 -4627 PHONE FAX• 503 - 639 -4673 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 12/10/2012 $100 70 Specifics: amps or less 1 ea 12% State Surcharge - 12/10/2012 $12.08 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 through 0 R 52- 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1 W 1987 or 1 L� 332 2344 '�1 Issued By: ki4./ Permittee Signature: 0,0 Q ' (I"i no AL AL OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. 12- 06 -'12 15:21 FROM- Frahler Electric 5036394673 T -107 P0001 /0002 F -329 Electrical Permit E Tigard A licatio CE�VED 1'011 OFFICE USE. ONLY City of Racaivad 2012. Date/B : I 3-11011;_ S�I �� II y 13125 SW Hall Blvd., Tigard, OR 97223 D EC 0 6 Plan Review G. Phone: 503.718.2439 Fax: 503.598.1960' nn Date/13 : Other Permit: 11 i� A t:1) Inspection Line: 503.639.4175 CITY of TIGA Date Ready/By: huts: 121 See Pale 2 for Internet: www.tigard- or.gov V Notified/Method: [ CO SSiio»lementalInformation ei 1' T ./r2. i r,T.l,l::'' t " i .. ()F.. V P I _ I / Ir.! , 'l e F •5E .,t,!.'` , r �' : { ' ' ' ,r.i Please check all that apply (submit 2 sets of plans w /items checked below): d Ntw construction ® Addition /alteration/replacement El Service or feeder 400 amps or more ❑Building over three stones. ❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards ':- ": y::.; r= "r• C u" . exceeds 10.000 amps at 150 volts or ❑ Floating buildings. < >' ^ .,,, •,> gs: ,, .. '.%'OA . 'Sr .., .. -., 10 ` ^ .', ` i1,.• s'., '. 1 ;." Y't ........4Y>••;r. : <..`•:L ,- .. : :,. . ..., . , A , .7... , .. a agricultural ^;''•' •' ' �' ••' * <�' '-' '!, � � ,, lass to ground, or exceeds 14.000 ❑Commercial -u.e ag w It ral ❑ I - and 2- family dwelling ❑ Commtrcial /industrial ❑ Accessory building amps for all other installations. buildings. Other: Multi - family , .< »..,,e ;I- .,,...,,...,•.: ?' `Fr argers t eparatelyd system. ❑ Master builder ❑ ter CI Fire pump. Installation of A or - ❑ 1;mergcncy system I derived " '? ' 0B_ .... O .. `A ' r L TI OCA • iii,: : � ' . ' ^ i, Addit of new motor load of ❑ "A" "1 -2 ", "t -s ", Job no.: 70041 I Job site address: 11863 SW GREENBURG RD, UNIT 9 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ tiaaardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: TIGARDEN COURT APTS ID service or feeder 600 amps or mom. _ 1 Cross street/directions to job site: Descrtptton } I Ow. I Pea I Total I • _ New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: — 1 Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'l500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential y ., - Y , 01'e Sq. ft.) 75,00 2 N ....4i t :.; c; <b is b: SC1i1l, X I+'rWU�t1C' , :: ,' , . . , `f ,., with a6 Limited energy, multi - family 75,00 2 REPLACE METERBASE THAT IS DAMAGED AT UNIT N9 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation _ 200 amps or less 1 100,70 100.70 2 :1•• c,�1 .,.,, ; ", ` om `r , . TE NA ;; ;t ' ;:';; ,'.... 1 7 �ii�h�i�„E�'i'�sVY�'iVE�: ' • .� ' : t ti ,,.. �T ;< ` °! 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200,34 2 Name: 601 amps to 1.000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City /State /ZIP: relocation Phone: ( ) l Fax; ( ) 200 amps or less 59.36 1 I 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, least, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, cr pane Owner signature: Date: A. Fee for branch circuits with <' t • •'•t : above service or feeder fee, []fAppLYGANT ;i;s ?. ® ' 068 'AC'Y p !$ p, ;,: 7.42 2 „ . ?j•' each branch circuit _ - Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit _ Each add'1 branch circuit 7.42 - 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City /State /ZIP: dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 - Pump or irrigation circle 67.84 2 E - mail: Signor outline lighting 67 2 CQN IR41CI 4$ Signal circuits) or limited - energy Business name: IRA dba FRAHLER ELECTRIC COMPANY panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any o f the abov Address: 11860 SW GREENBURG ROAD Additional inspection (1 hr min) 66.25/ hr investigation (1 hr min) 66.25/ hr City /State /ZIP: TIGARD, OR 97223 — — Industrial plant (1 hr min) 78.18/ hr Phone: (503) 639 - 4627 Fax: (503) 639 - 4673 Inspections for which no fee is 90.00 / hr - specifically listed ('f, hr min) CCR Lie.: 197172 Electrical Lie.: C861 Suprv, Lie.: 5110S ' : "''`ff;: ;• ;:k;. ; : ELIECTRtCAL PERMIT;- FEEB ; ':;:: 3 %r` '.':!< ?, :', • Subtotal: 100.70 Suprv. Electrician signature, required: �� :�° "" _ Plan review (25% of permit fre): Print name: ADAM ETHERINGTON Date; 12/06/12 State surcharge (12% of permit fee) 12.08 -- __ TOTAL PERMIT FEE: 112.78 Authorized signature: This permit application expires it permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit I: Viw fding1Permirs\ELC- PermitApp.doc 07/01/10 440- Sal51(11 /05/COMAVEB '# Dec. 17. 2012; 7:52AM- F PGE -TCC QUAD A; 5036394673 T - 11:No. 5412i/OCP, 1/153 ly Li ® � 4# Request to Energize an F,lectrakcal Installation El A , i? '' ''keLl'':- Iwo! # 70540 : • '-':�' s. ' h C:'4i;ZC'.I.�.S eS ~ •^" a. . `s. °' Lw - •:yiU �' . �y t. a r ..... t „ y,�•r, ,� � - G. - -. 4 6r 4 !iial(�: %�' 11 aiS Aitir Fil2lc� iNCr �i�;�7lF:iaXfaC >�` 4A r. ;i Name of supervising electrician: „ , . }l am } a,Y, _ Date of request: IZ /'1'j 12 Supervising eloctrIolan's license number : . _ ' 10 S Date installation was cornp)eted: (r!I/ 12- Electrical permit no.: EL.C.2ot z- fi ffa temp orcn- permit t,s posted al the fob site, please include a copy of it with rhis form . rl �'r� K .. ''.�'�.'' r�;tr y �, w , _- - • y,..� i - / "%t.8` Y.g S'i'�ir. C hid4,' -... . �l4kM M2ikiz�ti� 06 ( l 4 Yal�T ��• 1 iR.0' ::''� h yyt'i ' Name of electrical c0 ,.�1;ak, xa W .brr °.� :' c � �° , 'A 's i1� nbactor• a4�er �e� { 4 _ra �_.s__ License nor: L ; Business nddre4s l e,c, City. �} State: B T ZIP: 9 722', Phone: 3 6 9 4(x27 Fax.";- - -t- 9' 447,3 B-malf: ��?`tS.ti'. 'a,: " �� •='F l�7, �i�.;•�•��`"r:�j1•y -� � � sr�"` ' ,,.�. �" t1 1C�(!�T'; • Lon.. n.. +"- r. �f' )� -) •� 1 �� fj /�� S 1 '� " • ei i '- ..,� A S.a„. - i • .�1�,_I'_�'e(..' .F •Gcl,.i:`'GSFf')'',�,x '� 1 -')} ��yy `W.� r r.� 'ilia. �,c •:..�'.. 1` iG 'X., r�.: .5t" ,i+.�4.,�' �'�'7' '14:4�N�7�� m• ��v'�' ' }" Cttslorrrru's name; _ _ Customer's `, v �, ,� r Customer's < _� .� - _ l address; zc E til E i City: II // State: a ZIP: Z4D Address of installation if different than customer's address: ��! „' , 1'�� +�,� 1.,2; 'r'I�'�.' ` , y M r 'I..�� G.! i2�'C,. � e: r�r' i aw . ' �'N�.`, m za t, Authority having jurisdiction to inspect; Address: '71",-A i C.��,�� Phone: • i"7�3• lh'�9 L l ft. aw !"x C�lvd City: -„ _ T Stale: ZIP: 7 ranZerl. RERIV.4. ' • •. ` re �,�^�it� `'•.�? t M•`.r '4K4 -S1 �? i h .1Yr! R >, t l - w. i !. a:a - C:.?...�er Z ' �.. �r l � ° r N J 6 1r F_ -,1.. _!/h'+F�A�S z ,L,. `'C. k 't+,��u'S" Name of electric utility receiving ; �� P ',�•°��`�• r "�,• '' .Ji�t '`�3 =�•f,. < �' i p>3': �;. quiet: Phone: s (o CO Address: . -2 su. c.A,. r.7 .7 • CIItY: ,mo 4 v� �L Stat 9rn: 9 7 A A.. Itestoring ciaotticaJsezvicothat,was interrupted or disconnected because of either a: ❑ Servit.e change or ,; 0 I)iteontroltable e'eatt; auoJi as fire, flood, or severe weather; Or E. El::c±r1e .l gervlco at a remote loeatiou needs tote.: - . [ J Initi lined ID Itestoi'o1 '' . • �elr1' t �•'�+: �' ''" � Z"..?-A-;;' ' �S4'� r'A a •I`r fi "��; _. - ,; ., k _` /j $��W'�� T �1 rL `gyp) _ SUperrising eleptrieWrt' ' E1ecta'JcaI contractor NdtA; i4tftez; enclir - ibis iorni totlie electric utility, ' ,';' Note: By elm of business (41111e-first business day: following named above, yin). into/ ehd &copy of this Sorru to;; .energizing of,a completed installation inrosponsq.to this above '( tho•,e)ectrical ponntractor, (2) the eustOnzer;,aand •.;: . , request, you it ust; 0) notify. the authority.ha'ing jurisdiction '(3) the inspecting autl<oiity, that the installation has been energized;, and•(2) reiquest that the, authority inspect the completed installation,_ :tipr5' ising aleitriclAros Flgnatm .. •. c D tg e E lectric ' ' , r tLdlht�•� y �L / Note: ,P.leaser notifying the inspecting authority f • /0/02- identified ill this•request when an installation is energi before inspection. ri ' ' V .S "• {C .. G tiL24�V u'C 2, ..„ g!3U Am 1 C y , VeC, 2.t `if" 444 :044U= t:01■4 (t0 /0S /CQl1•